Ovarian cyst treatment - ovarian cyst surgery

What are Ovarian cysts? Ovarian cyst surgery

Ovarian cysts are most often fluid-filled growths of the ovaries. They can be functional (not cancerous), neoplastic (benign or cancerous), or endometriotic (also called endometriomas or chocolate cysts, which are very rarely cancerous).
Before initiating treatment, a physician should take into consideration the size and appearance of cyst on an ultrasound exam, the patient’s age, presence or absence of symptoms, and any risk factors. If a cyst is discovered in a woman of reproductive age, it is most commonly the functional type; endometriotic cysts are the second most common type. Neoplastic cysts are the least common type in this age group. The lifetime risk for a woman developing ovarian cancer is less than 2%.

Functional cysts


Endometriotic ovarian cysts (endometriomas)

Neoplastic cysts (benign or malignant)

Important notes:

Laparoscopically treating ovarian cysts without compromising fertility
Surgeries to treat ovarian cysts are quite common. However, it takes uncommonly advanced surgical skill to treat this condition in a minimally invasive manner without compromising fertility, without causing more pain or scar tissue, and without increasing the risks for the cysts to recur. Unfortunately, some surgeons are still using outdated technologies and techniques for treating ovarian cysts which studies have shown can cause these and other long-term complications, including increases in pain and/or compromised fertility by damaging a woman’s ovarian reserve.

That’s why it’s important to ensure that your surgeon not only has advanced laparoscopic skills, but also has available the most modern surgical equipment (and is trained to use them). Some important questions you can ask your surgeon are:


These are just a few of the many important questions that should be asked of your surgeon before moving forward with surgery. Please feel free to contact us at drnezhat@gmail.com if you’d like to learn about these and other very important differences in the surgical management of ovarian cysts; differences that do make a difference.

Experience is crucial for treating ovarian cysts minimally invasively

Drs. Nezhat are among the most experienced surgeons in the world in laparoscopic management of ovarian cysts. The Nezhat’s reported laparoscopic removal of a dermoid cyst (benign neoplastic cyst) for the first time in 1992, in the journal Obstetrics and Gynecology. Later, in 2002, they reported on 10 years of experience in laparoscopically treating highly complex cases, including dermoid cysts, endometriomas that were encased in scar tissue, and many other types of ovarian cysts.


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